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Journal article

Assessment of midwifery care providers intrapartum care competencies, in four sub-Saharan countries: a mixed-method study protocol

AUTHOR(S)
Ann‑Beth Moller; Joanne Welsh; Mechthild M. Gross (et al.)

Published: February 2021 Journal: Reproductive Health

This study aims to assess competencies (knowledge, skills and attitudes) of midwifery care providers as well as their experiences and perceptions of in-service training in the four study countries; Benin, Malawi, Tanzania and Uganda as part of the Action Leveraging Evidence to Reduce perinatal mortality and morbidity in sub-Saharan Africa project (ALERT). While today more women in low- and middle-income countries give birth in health care facilities, reductions in maternal and neonatal mortality have been less than expected. This paradox may be explained by the standard and quality of intrapartum care provision which depends on several factors such as health workforce capacity and the readiness of the health system as well as access to care.

Journal article

Health anxiety and related factors among pregnant women during the COVID-19 pandemic: a cross-sectional study from Iran

AUTHOR(S)
Najmieh Saadati; Poorandokht Afshari; Hatam Boostani

Published: February 2021 Journal: BMC Psychiatry

The COVID-19 pandemic has affected many countries around the world and Iran was no exception. The aim of this study was to evaluate health anxiety of Iranian pregnant women during the COVID-19 pandemic.

Journal article

Higher SARS-CoV-2 infection rate in pregnant patients

AUTHOR(S)
Erica M. Lokken; G. Gray Taylor; Emily M. Huebner (et al.)

Published: February 2021 Journal: American journal of obstetrics and gynecology

During the early months of the coronavirus disease of 2019 (COVID-19) pandemic, risks to pregnant women of a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection were uncertain. Pregnant patients can serve as a model for the success of the clinical and public health response during public health emergencies as they are typically in frequent contact with the medical system. Population-based estimates of SARS-CoV-2 infections in pregnancy are unknown due to incomplete ascertainment of pregnancy status or inclusion of only single centers or hospitalized cases. Whether pregnant women were protected by the public health response or through their interactions with obstetrical providers in the early pandemic is poorly understood. This study aims to estimate the SARS-CoV-2 infection rate in pregnancy and examine disparities by race/ethnicity and English-language proficiency in Washington State.

Cite this research | Open access | Language: English | Topics: Education | Tags: disease transmission, mental health services, mental stress, pregnancy, pregnant women, psychological distress, racial discrimination, social inequality, COVID-19 response, lockdown | Countries: United States

Journal article

A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19

AUTHOR(S)
Ran An; Xiaoli Chen; Yuanyuan Wu (et al.)

Published: February 2021 Journal: Archives of Psychiatric Nursing

The COVID-19 pandemic seriously endangers the public's mental health, especially to pregnant and postpartum women. But little is known about postpartum depression and health care needs among Chinese postpartum women. This study aims to investigate the status and risk factors of postpartum depression and health care needs among Chinese postpartum women during the COVID-19 pandemic.

Journal article

Mental health of pregnant and postpartum women in response to the COVID-19 pandemic

AUTHOR(S)
Sarah E. D. Perzow; Ella-Marie P. Hennessey; M. Camille Hoffman (et al.)

Published: February 2021 Journal: Journal of Affective Disorders Reportas

The COVID-19 pandemic has been uniquely challenging for pregnant and postpartum women. Uncontrollable stress amplifies risk for maternal depression and anxiety, which are linked to adverse mother and child outcomes. This study examined change in internalizing symptoms from before to during the COVID-19 pandemic among pregnant and postpartum women longitudinally, and investigated moderation by loneliness and other contextual risk factors.

Journal article

Impact of SARS-CoV-2 infection on pregnancy outcomes: a population-based study

AUTHOR(S)
Francesca Crovetto; Fàtima Crispi; Elisa Llurba (et al.)

Published: February 2021 Journal: Clinical Infectious Diseases

This population-based study aims to describe the impact of SARS-CoV-2 infection on pregnancy outcomes. Prospective, population-based study including pregnant women consecutively attended at first/second trimester or at delivery at three hospitals in Barcelona, Spain. SARS-CoV-2 antibodies (IgG and IgM/IgA) were measured in all participants and nasopharyngeal RT-PCR was performed at delivery.

Journal article

Pregnant women’s daily patterns of well-being before and during the COVID-19 pandemic in Finland: longitudinal monitoring through smartwatch technology

AUTHOR(S)
Hannakaisa Niela-Vile´n; Jennifer Auxier; Eeva Ekholm (et al.)

Published: February 2021 Journal: Plos One

Technology enables the continuous monitoring of personal health parameter data during pregnancy regardless of the disruption of normal daily life patterns. Our research group has established a project investigating the usefulness of an Internet of Things–based system and smartwatch technology for monitoring women during pregnancy to explore variations in stress, physical activity and sleep. The aim of this study was to examine daily patterns of well-being in pregnant women before and during the national stay-at-home restrictions related to the COVID-19 pandemic in Finland.

Journal article

Intentions to seek mental health services during the COVID-19 pandemic among Chinese pregnant women with probable depression or anxiety: cross-sectional, web-based survey study

AUTHOR(S)
Qian Wang; Bo Song; Jiangli Di (et al.)

Published: February 2021 Journal: JMIR Mental Health

Mental health problems are prevalent among pregnant women, and it is expected that their mental health will worsen during the COVID-19 pandemic. Furthermore, the underutilization of mental health services among pregnant women has been widely documented. This study aimed to identify factors that are associated with pregnant women’s intentions to seek mental health services, it specifically assessed pregnant women who were at risk of mental health problems in mainland China.

Evidence Synthesis and other Reviews

Maternal and perinatal outcomes related to COVID‐19 and pregnancy: overview of systematic reviews

AUTHOR(S)
Laura Vergara‐Merino; Nicolás Meza; Constanza Couve‐Pérez (et al.)

Published: February 2021 Journal: Acta Obstetricia et Gynecologica Scandinavica

Evidence about COVID‐19 and pregnancy has rapidly increased since December 2019, making it difficult to make rigorous evidence‐based decisions. The objective of this overview of systematic reviews is to conduct a comprehensive analysis of the current evidence on prognosis of COVID‐19 in pregnant women.

Cite this research | Open access | Language: English | Topics: Health | Tags: pregnancy, pregnant women, COVID-19

Evidence Synthesis and other Reviews

Haemostatic and thrombo-embolic complications in pregnant women with COVID-19: a systematic review and critical analysis

AUTHOR(S)
Juliette Servante; Gill Swallow; Jim G. Thornton (et al.)

Published: February 2021 Journal: BMC Pregnancy and Childbirth

As pregnancy is a physiological prothrombotic state, pregnant women may be at increased risk of developing coagulopathic and/or thromboembolic complications associated with COVID-19. Two biomedical databases were searched between September 2019 and June 2020 for case reports and series of pregnant women with a diagnosis of COVID-19 based either on a positive swab or high clinical suspicion where no swab had been performed. Additional registry cases known to the authors were included.

Journal article

The impact of the COVID-19 pandemic on economic security and pregnancy intentions among people at risk of pregnancy

AUTHOR(S)
Tracy Kuo Lin; Rachel Law; Jessica Beaman

Published: February 2021 Journal: Contraception

This study aims to understand how the COVID-19 pandemic affected women of reproductive age, specifically their economic conditions, desire for pregnancy, and access to contraceptive services during the pandemic. A total of 554 women respondents age 18 to 49 and reside in the United States were recruited using social media between May 16, 2020 and June 16, 2020. Logistic regression models assessed predictors of reporting pandemic-related changes in economic conditions, desire for pregnancy, and contraceptive access

Research brief

Definition and categorization of the timing of mother-to-child transmission of SARS-CoV-2

Institution: World Health Organisation
Published: February 2021

This scientific brief was prepared based on results of evidence synthesis and a WHO expert consultation. The WHO COVID-19 LENS (Living Evidence Synthesis) working group consolidated available evidence, based on rapid reviews of the literature and results of a living systematic review on pregnancy and COVID-19 (up to October 7, 2020), on potential mechanisms of vertical transmission of infectious pathogens, feasibility of vertical transmission of SARS-CoV-2, data related to interpretation of positive SARS-CoV-2 virologic and serologic neonatal tests, lessons from diagnosis of other congenital infections, and existing proposed definitions to classify timing of vertical transmission of SARS-CoV-2. WHO convened a multidisciplinary, international panel of experts between October and November 2020 to review the evidence and propose a consensus initial classification system for the timing of vertical transmission of SARS-CoV-2. The panel included experts in obstetrics, neonatology, paediatrics, epidemiology, virology, infectious disease, congenital infections, and placental pathology. The selection of the panel ensured geographic representation, gender balance, and no important conflicts of interest, in accordance with WHO standard procedures.

Journal article

Psychological impact and social support in pregnant women during lockdown due to SARS‐CoV2 pandemic: a cohort study

AUTHOR(S)
Maia Brik; Miguel Angel Sandonis; Sara Fernández (et al.)

Published: February 2021 Journal: Acta Obstetricia et Gynecologica Scandinavica

Anxiety and depression during pregnancy can lead to adverse maternal and neonatal outcomes. The SARS CoV‐2 pandemic, and the complete lockdown required during the first wave in most countries are stressors for pregnant women and can lead to anxiety and depression during pregnancy. The aim of this study was to explore depression and anxiety symptoms, and social support in pregnant women during the SARS CoV‐2 lockdown, as well as to explore demographic risk factors.

Journal article

Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study

AUTHOR(S)
Wenping Ding; Jianmei Lu; Yan Zhou

Published: January 2021 Journal: BMC Pregnancy and Childbirth

Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context.

Evidence Synthesis and other Reviews

Should COVID-19 mother breastfeed her newborn child? A literature review on the safety of breastfeeding for pregnant women with COVID-19

AUTHOR(S)
Harshil Bhatt

Published: January 2021 Journal: Current Nutrition Reports

Breastfeeding is beneficial to both the newborn and the mother. During the COVID-19 pandemic, concerns have been raised on whether the SARS-CoV-2 virus could be transmitted from COVID-19 positive mother to the newborn through breastmilk. The purpose of this review is to examine the available evidence on the risks of transmission of infection from COVID-19 mothers to their newborns through breastfeeding.

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UNICEF Innocenti's Children and COVID-19 Library is a database collecting research from around the world on COVID-19 and its impacts on children and adolescents.

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